Individual provider · Type 1 NPI

Fabrice Da'val Gantt, LPN

Licensed Practical Nurse · Brooklyn, NY

NPI number 1639749500 Active

Practice location

261 9th St
Brooklyn, NY 11215-3905

Call (718) 369-3812 Map

Mailing address

448 Willoughby Ave
Brooklyn, NY 11206-6412

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	274690 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1639749500

Fabrice Da'val Gantt, LPN's National Provider Identifier is 1639749500, issued on Jul 1, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 1, 2021.